Professional Dental Alliance of Beachside, Pllc
NPI #1669951489 in Indian Harbour Beach, Florida
Provider Information
- NPI Number
- 1669951489
- Entity Type
- Organization
- Organization Name
- Professional Dental Alliance of Beachside, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 13, 2018
- Last Updated
- Aug 13, 2018
Practice Location
- Address
- 660 E EAU GALLIE BLVD STE 1
- State
- Florida
- ZIP Code
- 32937-4252
- Phone
- (321) 777-7474
Authorized Official
- Name
- ANNETTE MARLOW
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (724) 698-2119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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